Individual
MR. EARL BRADEN BRASFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.P.T., O.C.S.
Contact information
Practice address
2716 TELEGRAPH RD, SUITE #107, SAINT LOUIS, MO 63125-4078
(314) 894-9008
(314) 894-1232
Mailing address
2716 TELEGRAPH RD, SUITE #107, SAINT LOUIS, MO 63125-4078
(314) 894-9008
(314) 894-1232
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
118376
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
488363201
—
MO
Enumeration date
11/14/2007
Last updated
11/14/2007
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